How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,698 to $10,000Professionalmedian $1,479 · 10th to 90th $1,096 to $2,630
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,398.83 Median $7,943.28 Typical High $16,595.87 | Facility | None | $2,398.83 | $7,943.28 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,584.89 Typical High $2,238.72 | Professional | None (both parts) | $1,096.48 | $1,584.89 | $2,238.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $457.09 Typical High $501.19 | Professional | 26 · Professional part | $323.59 | $457.09 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,122.02 Typical High $1,148.15 | Professional | TC · Technical part | $758.58 | $1,122.02 | $1,148.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $501.19 | Professional | 26 · Professional part | $263.03 | $263.03 | $501.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,089.30 Median $5,754.40 Typical High $6,165.95 | Facility | None | $2,089.30 | $5,754.40 | $6,165.95 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $11,220.18 | Facility | None | $2,041.74 | $2,137.96 | $11,220.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,479.11 Typical High $1,819.70 | Professional | None (both parts) | $1,096.48 | $1,479.11 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $446.68 Typical High $549.54 | Professional | 26 · Professional part | $331.13 | $446.68 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,023.29 Typical High $1,348.96 | Professional | TC · Technical part | $758.58 | $1,023.29 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,511.89 Typical High $9,549.93 | Facility | None | $1,148.15 | $2,511.89 | $9,549.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,584.89 Typical High $6,918.31 | Professional | None (both parts) | $1,148.15 | $1,584.89 | $6,918.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $467.74 Typical High $1,778.28 | Professional | 26 · Professional part | $331.13 | $467.74 | $1,778.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,096.48 Typical High $5,128.61 | Professional | TC · Technical part | $831.76 | $1,096.48 | $5,128.61 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,513.56 Typical High $2,511.89 | Professional | None (both parts) | $1,096.48 | $1,513.56 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $457.09 Typical High $707.95 | Professional | 26 · Professional part | $309.03 | $457.09 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,071.52 Typical High $1,778.28 | Professional | TC · Technical part | $794.33 | $1,071.52 | $1,778.28 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,174.90 Typical High $1,230.27 | Professional | 54 · Surgery only | $812.83 | $1,174.90 | $1,230.27 |
Where Kansas sits
The same service costs 3.9 times more in Wisconsin than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 10th of 51
$2,188
WI $4,169NY $1,072
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.